Client self-terminations after one counseling session: Effects of problem recognition, counselor gender, and counselor experience.

The association between pretreatment change and unplanned termination in family therapy

“…Although the goal for family therapy is to improve the quality of marital and familial relationships, clients with unplanned therapy terminations usually do not improve their relationships (Baekland & Lundwall, 1975;Epperson et al, 1983). This is significant since over 50% of clients who receive marital and family therapy have unplanned terminations (Anderson et al, 1985;Lowman et al, 1984;Talmon, 1990).…”

The working alliance: Where have we been, where are we going?

“…Despite the fact that the concept of negotiation has been present in the literature for several decades, there is a lack of validated assessment instruments to measure it. Previous work on negotiation has largely involved qualitative analyses of in-session processes or the use of factor analytic techniques (Czogalik & Russell, 1995;, or has examined explicit negotiation of treatment parameters before the therapy process began (Epperson, Bushway, & Warman, 1983;Rainer & Campbell, 2001;Reiss & Brown, 1999;Tracey, 1988). As a result, negotiation has remained largely a theoretical construct and has not been subject to proper empirical scrutiny.…”

Strategies for Reducing Patient-Initiated Premature Termination of Psychotherapy

“…A number of retrospective studies have found, however, that patient-initiated premature termination occurred more often when the patient and therapist were unable to agree on the nature of the patient's primary problem or the putative cause of the problem. 40,41 …”